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ARCHIVED REPORTS XR0003743
Environmental Health - Public
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2575
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2900 - Site Mitigation Program
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PR0541989
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ARCHIVED REPORTS XR0003743
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Last modified
6/21/2019 9:32:03 PM
Creation date
6/21/2019 4:40:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003743
RECORD_ID
PR0541989
PE
2950
FACILITY_ID
FA0024100
FACILITY_NAME
COUNTRY CLUB VALERO
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12302012
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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1 � ` <br /> SHELL WELL MONITORING DATA SHEET <br /> o�ect #: 9 7 r z�. - �� WIC #: Z o 't - 7s--L.v - a 5 <br /> Sampler: 7-7-6-- Date: ��- <br /> Well I D.: Cz41 i, -a ,s Well Diameter: 2 3 4 6 8 <br /> Total Well Depth: Depth to Water: - <br /> Depth to Free Product: Thickness of Free Product (feet): <br /> Referenced to: v Grade D O. Meter (if req'd): YSi HACH <br /> Well Diameter u t a Well Diameter Multiplier <br /> 2" 016 5" 102 <br /> 3" 037 6" 147 <br /> 4" 065 Other radlu?*0 163 <br /> Purge Method Bailer Samphng Method Bailer <br /> Middle g Extraction Port, <br /> Electnc Subm sable Other <br /> Extraction Pu <br /> Other <br /> _ X f = Gals <br /> 1 Case Volume(Gals) Specified Volumes Calculated Volume <br /> Time Temp (°F) pH Cond Turbidity Gals. Removed Observations <br /> ¢ �a /e <br /> le <br /> Did well dewater? Yes No Gallons actually evacuated: <br /> Sampling Time: ZS 5-4 44-G 9,/7 Sampling Date: <br /> Sample I.D.: z y,rG P.� Laboratory: Crosby <br /> Analyzed for: H-G BTEX MTB TPH-D Other: a� e.,Rr ��� �. °7e4_V/ <br /> Equipment Blank i D.: @ Tie Duplicate I.D <br /> alyzed for: TPH-G BTEX MTBE TPH-D Other: <br /> D.O. (if req'd): Pre-purge 7716/ Post-purge Yng/ <br />
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